| NPI | 1760657159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUTH ROBERTS Owner 770-922-3068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2008-04-25 |
| Last Update Date | 2008-04-25 |